The ECT Handbook

This book presents the latest clinical guidelines on the prescription and practical administration of electroconvulsive therapy (ECT). It clarifies the place of ECT in contemporary practice and reviews the evidence for its efficacy. The ECT Handbook is an essential reference manual for all psychiatrists, for anaesthetists and nurses who work in ECT clinics, for everyone professionally involved in caring for patients for whom ECT may be recommended, and for second-opinion appointed doctors working for the Care Quality Commission. The book has been ubstantially revised to take account of new research, and covers issues of capacity and consent. The third edition has new chapters on the mode of action of ECT, cognitive adverse effects, dental effects, other brain stimulation techniques and patient and carer perspectives, and new evidence is presented of the benefits and risks of unilateral versus bilateral electrode placement.

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Contents

Frontmatter
pp i-ii
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Contents
pp iii-iv
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Abbreviations
pp v-v
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List of figures, tables and boxes
pp vi-vii
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List of contributors
pp viii-ix
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Preface
pp x-xi
- By Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust, Andrew Easton, Consultant Forensic Psychiatrist, Seacroft Hospital, Leeds Partnership NHS Foundation Trust
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Introduction: the role of ECT in contemporary psychiatry: Royal College of Psychiatrists’ Special Committee on ECT and Related Treatments
pp xii-xvi
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1 - Mechanism of action of ECT
pp 1-7
- By Ian M. Anderson, Honorary Consultant Psychiatrist, Manchester Mental Health and Social Care Trust, and Professor of Psychiatry, Neuroscience and Psychiatry Unit, University of Manchester, Grace M. Fergusson, Consultant Psychiatrist, Argyll and Bute Hospital, Lochgilphead
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2 - The ECT suite
pp 8-13
- By Chris P. Freeman, Regional Consultant for Eating Disorders, Royal Edinburgh Hospital, and The Old Pencaitland Farmhouse, East Lothian, Grace M. Fergusson, Consultant Psychiatrist, Argyll and Bute Hospital, Lochgilphead
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3 - Anaesthesia for ECT
pp 14-27
- By Simon C. Walker, Consultant Anaesthetist, William Harvey Hospital, Ashford, Kent, C. John Bowley, retired Consultant Anaesthetist, Nottingham University Hospitals, Heather A. C. Walker, retired Consultant Anaesthetist, North Manchester General Hospital
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4 - ECT prescribing and practice
pp 28-44
- By Ross A. Dunne, Academic Clinical Fellow, Specialty Registrar in Old Age Psychiatry, Fulbourn Hospital, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, Declan M. McLoughlin, Research Professor of Psychiatry, Trinity College Institute of Neuroscience, Trinity College Dublin, and St Patrick's University Hospital, Dublin, Ireland
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5 - Psychotropic drug treatment during and after ECT
pp 45-59
- By Michael Dixon, Lead Pharmacist for Research & Development, Medicines Information, Leeds and York Partnership NHS Foundation Trust, Leeds, Angelica Santiago, Consultant Psychiatrist, Bradford & Airedale Early Intervention, Culture Fusion, Bradford
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6 - Monitoring a course of ECT
pp 60-70
- By Allan I. F. Scott, Consultant Psychiatrist, Royal Edinburgh Hospital, Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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7 - Non-cognitive adverse effects of ECT
pp 71-75
- By Susan M. Benbow, Director, Older Mind Matters Ltd, and Visiting Professor of Mental Health and Ageing, Staffordshire University, Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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8 - Cognitive adverse effects of ECT
pp 76-86
- By Chris P. Freeman, Regional Consultant for Eating Disorders, Royal Edinburgh Hospital, and The Old Pencaitland Farmhouse, East Lothian
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9 - Dental issues related to ECT
pp 87-93
- By Denis Martin, BChD, LDS (Leeds), Specialty Doctor, ECT Service, Wooton Lawn Hospital, Gloucester
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10 - Training, supervision and professional development: achieving competency
pp 94-98
- By Grace M. Fergusson, Consultant Psychiatrist, Argyll and Bute Hospital, Lochgilphead, Daniel M. Bennett, Consultant Forensic Psychiatrist, NHS Tayside, and Honorary Senior Lecturer in Psychiatry, University of Aberdeen, Susan M. Benbow, Director, Older Mind Matters Ltd, and Visiting Professor of Mental Health and Ageing, Staffordshire University
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11 - Nursing guidelines for ECT
pp 99-108
- By Linda Cullen, National Clinical Coordinator, Scottish ECT Audit Network, Stephen Finch, Lead ECT Nurse, Greater Manchester West Mental Health NHS Foundation Trust, Bolton Mental Health Directorate, Eamonn Heaney, Formerly Lead Nurse for ECT, Parkwood Clinic, Blackpool, Lancashire Care NHS Foundation Trust
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12 - Inspection of ECT clinics
pp 109-112
- By Chris P. Freeman, Regional Consultant for Eating Disorders, Royal Edinburgh Hospital, and The Old Pencaitland Farmhouse, East Lothian, Joanne Cresswell, ECTAS Programme Manager, ECTAS, Centre for Quality Improvement, Royal College of Psychiatrists, Grace M. Fergusson, Consultant Psychiatrist, Argyll and Bute Hospital, Lochgilphead, Linda Cullen, National Clinical Coordinator, Scottish ECT Audit Network
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13 - Other brain stimulation treatments
pp 113-125
- By Sarah Browne, Research Technician, Division of Neuroscience, University of Dundee, Ninewells Hospital and Medical School, Dundee, David Christmas, Consultant Psychiatrist, Advanced Interventions Service, Ninewells Hospital and Medical School, Dundee, Douglas Steele, Professor of Neuroimaging and Honorary Consultant Psychiatrist, Advanced Interventions Service, Ninewells Hospital and Medical School, Dundee, M. Sam Eljamel, Consultant Neurosurgeon, Advanced Interventions Service, Ninewells Hospital and Medical School, Dundee, Keith Matthews, Professor of Psychiatry and Honorary Consultant Psychiatrist, Division of Neuroscience, University of Dundee, Ninewells Hospital and Medical School, Dundee
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14 - The use of ECT in the treatment of depression
pp 126-134
- By Heinrich C. Lamprecht, Consultant Psychiatrist, Mental Health Services for Older People, Guiborough, Tees, Esk & Wear Valleys NHS Foundation Trust, I. Nicol Ferrier, Professor of Psychiatry, School of Neurology, Neurobiology and Psychiatry, University of Newcastle, Newcastle upon Tyne, Alan G. Swann, Consultant Psychiatrist in Old Age Psychiatry, Newcastle General Hospital, Newcastle upon Tyne, Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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15 - The use of ECT in the treatment of mania
pp 135-139
- By Andrew M. Whitehouse, Emeritus Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust, Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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16 - The use of ECT in the treatment of schizophrenia and catatonia
pp 140-157
- By Christopher F. Fear, Consultant Psychiatrist, 2gether NHS Foundation Trust, Gloucester, Ross A. Dunne, Academic Clinical Fellow, Specialty Registrar in Old Age Psychiatry, Fulbourn Hospital, Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, Declan M. McLoughlin, Research Professor of Psychiatry, Trinity College Institute of Neuroscience, Trinity College Dublin, and St Patrick's University Hospital, Dublin, Ireland
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17 - The use of ECT in neuropsychiatric disorders
pp 158-165
- By Ennapadam S. Krishnamoorthy, TS Srinivasan Chair, TS Srinivasan Institute of Neurosciences, VHS Hospital, Chennai, India
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18 - The use of ECT in people with intellectual disability
pp 166-183
- By Peter Cutajar, Consultant Psychiatrist, Learning Disabilities, Nottinghamshire Healthcare NHS Trust, Jo Jones, Consultant Psychiatrist, Learning Disabilities, Nottinghamshire Healthcare NHS Trust, Walter J. Muir, formerly Reader in the Psychiatry of Learning Disability, Division of Psychiatry, University of Edinburgh
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19 - Safe ECT practice in people with a physical illness
pp 184-190
- By Susan M. Benbow, Director, Older Mind Matters Ltd, and Visiting Professor of Mental Health and Ageing, Staffordshire University, Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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20 - ECT for older adults
pp 191-195
- By Susan M. Benbow, Director, Older Mind Matters Ltd, and Visiting Professor of Mental Health and Ageing, Staffordshire University
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21 - The use of ECT as continuation or maintenance treatment
pp 196-203
- By Richard Barnes, Consultant in Old Age Psychiatry, Mossley Hill Hospital, Liverpool
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22 - Consent, capacity and the law
pp 204-223
- By Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust, Richard Barnes, Consultant in Old Age Psychiatry, Mossley Hill Hospital, Liverpool, Daniel M. Bennett, Consultant Forensic Psychiatrist, NHS Tayside, and Honorary Senior Lecturer in Psychiatry, University of Aberdeen, Donald Lyons, Mental Welfare Commission for Scotland, Declan M. McLoughlin, Research Professor of Psychiatry, Trinity College Institute of Neuroscience, Trinity College Dublin, and St Patrick's University Hospital, Dublin, Ireland, Hugh Series, Consultant Psychiatrist, Oxford Health NHS Foundation Trust
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23 - Patients’ and carers’ perspectives on ECT
pp 224-229
- By Jonathan Waite, Consultant Psychiatrist, Nottinghamshire Healthcare NHS Trust
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